Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 07120 | Date 25/06/2024 |
| Token No | SM/24-25/23687 25/06/2024 | Serial | 031 |
| Patient Name | Miss AMBIKA CHOWDHURY | Contact No | 7685001786 |
| Address | 192 NEW MAHESH SERAMPORE 712203 | Age | 11 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||